BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3952076 · Received July 23, 2014

    Report

    Report Number
    1525712-2014-03912
    Date Received
    July 23, 2014
    Report Date
    June 17, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IOR
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES THE CAP ON THE WHEEL IS MISSING AND CUSTOMER STATES HIS WIFE PANT CUFF GOT CAUGHT ON THE BOLT. BUT CUSTOMER STATES THERE WERE NO INJURIES RESULTING FROM THIS ISSUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    431596 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 IOR UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other